DORSAL SLIT

Dorsal slit may very well be considered to be a "radical" version of preputioplasty.

​It's a quick and simple procedure, consisting in the execution of a single cut, with scissors, on the dorsal part of the foreskin.

Dorsal slit on penis with extreme paraphimosis

After the incision, the two edges of skin are stitched together except for the region closer to the foreskin opening (thus allowing the passage of the glans). Seen from above, a V-shape at the extremity of the foreskin is then pretty evident.

If the aesthetic result of preputioplasty already generates some controversy, let's just say that the visual outcome of dorsal slit leaves a lot to be desired[1].

Therefore, ﻿﻿such intervention is only indicated for urgent cases, which require a fast resolution (extreme paraphimosis, urinary retention due to severe balanitis[2]). For these cases, an emergency circumcision is not recommended because the edema of considerable size hinders the execution of the surgical procedure[3].